| Kanning Dental Llc | |
|
201 E 6th St Lawson MO 64062-7804 | |
| (816) 580-4191 | |
| (816) 296-3058 |
| Full Name | Kanning Dental Llc |
|---|---|
| Speciality | Dentist |
| Location | 201 E 6th St, Lawson, Missouri |
| Authorized Official Name and Position | Nelson C Kanning (OWNER) |
| Authorized Official Contact | 8165804191 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kanning Dental Llc 201 E 6th St Lawson MO 64062-7804 Ph: (816) 580-4191 | Kanning Dental Llc 201 E 6th St Lawson MO 64062-7804 Ph: (816) 580-4191 |
| NPI Number | 1922405620 |
|---|---|
| Provider Enumeration Date | 11/24/2014 |
| Last Update Date | 02/07/2019 |
| Medicare PECOS PAC ID | 5597000174 |
|---|---|
| Medicare Enrollment ID | O20181231001557 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922405620 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 2013016719 (Missouri) | Primary |
| 332B00000X | Durable Medical Equipment & Medical Supplies | (* (Not Available)) | Secondary |
L G Kanning Dds Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 201 East 6th Str, Lawson, MO 64062 Phone: 816-296-3252 Fax: 816-296-3058 |